加拿大结盟医疗专业劳动力的相对偏远和工资差异
Neeru Gupta1, Adrienne Gulliver2, Paramdeep Singh3
1Department of Sociology, University of New Brunswick, Fredericton, Canada ngupta@unb.ca.
Rural and remote health
|June 2, 2023
概括
在加拿大,相关卫生专业人员 (AHP) 的地理分布不佳仍然存在,农村地区的AHP密度明显较低. 虽然一些农村药剂师的收入更高,但由于偏远而造成的整体工资差异很小,女性在各个专业的收入低于男性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
- 健康劳动力研究 卫生劳动力研究
背景情况:
- 卫生工作人员,特别是相关卫生专业人员 (AHPs) 的地理分布不当,导致农村卫生结果不平等.
- 有限的研究存在于AHPs,城市比较器,性别和多样性在农村卫生工作人员的研究.
- 经常提出货币激励措施,以吸引医疗保健从业人员到农村和服务不足的地区.
研究的目的:
- 检查加拿大AHP的地理和性别分布趋势.
- 分析农村和城市连续的AHP的收入.
- 评估偏远对AHP收入的影响,控制性别和其他特征.
主要方法:
- 利用基于人口的观察性研究设计.
- 将加拿大人口普查数据 (2006年和2016年) 与地理编码的偏远地区指数集成并链接起来.
- 采用多个线性回归模型来分析25-54岁大学毕业的AHP之间的距离,收入,性别和其他因素之间的关联.
主要成果:
- 与农村地区相比,城市地区的AHP密度是城市地区的15倍,十年来变化很小.
- 在AHP职业中,女性化和由于偏远而造成的地理分散之间存在积极的相关性.
- 农村药剂师的收入增加了9%,但偏远对牙医,物理治疗师,职业治疗师和其他治疗/评估AHP的工资的影响很小. 在一些职业中,女性的收入低于男性.
结论:
- 在加拿大的医疗保健相关职业中,没有发现因偏远而导致的持续的工资差异.
- 支持在农村地区为AHP提供财政激励的证据仍然有限.
- 在不同的国家背景下,需要进一步研究农村,性别和AHP之间的工资差异.
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